Active NPIIndividual providerSole proprietor

Dr. John M Pellegrino, MD

Surgery, Surgical Oncology in Brick, New Jersey

NPI Number1730254053
Practice location
459 Jack Martin Blvd, Brick, NJ 08724-7724
Fax
732-458-3885
Last updated
June 25, 2013

John Michael Pellegrino is a Surgery, Surgical Oncology based in Brick, NJ. John Michael Pellegrino practices in Brick, NJ and has the professional credentials of MD. The NPI Number for John Michael Pellegrino is 1730254053 and holds a License No. 25MA05283200 (NJ). The current practice location address for John Michael Pellegrino is 459 Jack Martin Blvd, Brick, NJ 08724-7724 and can be reached out via phone at 732-458-4600 and via fax at 732-458-3885.

Provider Profile Details

NPI Number
1730254053
Provider Name
John Michael Pellegrino
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
459 Jack Martin Blvd, Brick, NJ 08724-7724
Phone Number
732-458-4600
Fax Number
732-458-3885
Primary Taxonomy
Surgery, Surgical Oncology · 2086X0206X
Sole Proprietor
Yes
Provider Enumeration Date
November 21, 2006
Last Update Date
June 25, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
459 Jack Martin Blvd
Brick, NJ 08724-7724
City
Brick
Zip
08724-7724
Phone Number
732-458-4600
Fax Number
732-458-3885
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
459 Jack Martin Blvd
Brick, NJ 08724-7724
City
Brick
State
NJ
Zip
08724-7724
Phone Number
732-458-4600
Fax Number
732-458-3885

License Information

License Number
25MA05283200
License State
NJ
Taxonomy
Surgery, Surgical Oncology · 2086X0206X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John M Pellegrino, MD?

The NPI number of Dr. John M Pellegrino, MD is 1730254053. It was assigned on November 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John M Pellegrino, MD?

Dr. John M Pellegrino, MD is registered under the primary taxonomy Surgery, Surgical Oncology (code 2086X0206X), licensed in NJ under license number 25MA05283200.

Where does Dr. John M Pellegrino, MD practice?

The practice location is 459 Jack Martin Blvd, Brick, NJ 08724-7724. The office can be reached at 732-458-4600 (phone) or 732-458-3885 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730254053 directly on the NPPES registry website.

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